Provider Demographics
NPI:1215519756
Name:WOODMAN HOSPICE, INC.
Entity type:Organization
Organization Name:WOODMAN HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BABKEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-345-3060
Mailing Address - Street 1:8939 WOODMAN AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-8014
Mailing Address - Country:US
Mailing Address - Phone:747-345-3060
Mailing Address - Fax:747-345-3061
Practice Address - Street 1:8939 WOODMAN AVE STE 8
Practice Address - Street 2:
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-8014
Practice Address - Country:US
Practice Address - Phone:747-345-3060
Practice Address - Fax:747-345-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based